The role of psychosocial determinants in predicting adherence to treatment in patient with hypertension

Abstract

Introduction Non-adherence in patients with hypertension directly exacerbates clinical outcomes. The purpose of the present research is to study the recognition of the relationships between the perceived social support and self-efficacy and the satisfaction of health care agents and the interaction of the patient with therapeutic personnel and access to health care and the behaviors of adherence to treatment in the patients who suffer hypertension. Materials and methods This descriptive cross-sectional correlation study recruited 250 patients from a specialized hypertension clinic in Semnan, who completed the following questionnaires: Multidimensional Scale of Perceived Social Support, self-efficacy, adherence to treatment, access to and satisfaction with health care, and the patient’s interaction with treatment personnel. Results An overall statistical description of the sample consists of 89 (35.6%) men and 161 (64.4%) women (SD = 10.41, range = 51.98). Regression coefficient of previous variables (three steps) shows that self-efficacy share, consent form civil services, and job could demonstrate with 99% certainty in the changes of treatment conformity in a meaningful way. Conclusions High self-efficacy, satisfaction with health care, and a favorable job have a high direct effect on adherence to treatment in patients with hypertension and controlling hypertension. Social support and education do not have a significant impact on adherence to treatment.

The Effect of Social Support on Treatment Adherence in Hypertension in China

“… 15 , 16 On the other hand, other investigations indicated social support was not associated with treatment adherence. 17 , 18 Inappropriate advice from friends and family members may have unintentional negative influences on adherence and self-management behaviors. 19 Evidence remains inconsistent for relationships between social support and treatment adherence.…”

Mediating Effect of Self-Efficacy on the Relationship Between Medication Literacy and Medication Adherence Among Patients With Hypertension

“…For example, socio-demographic factors including gender, age, education level, occupational status, or even race; ( Abegaz et al, 2017 ; Lee et al, 2017 ; Fatani et al, 2019 ) socio-economic status including annual income and medical insurance; ( Boima et al, 2015 ; Nielsen et al, 2017 ) clinical characteristics for patients including family disease history, number of prescribed drugs, comorbidity, and duration of hypertension ( Choi et al, 2018 ; Uchmanowicz et al, 2019 ). Most importantly, psychosocial factors also exert significant influence on medication adherence, including depressed emotion, perceived severity of disease, self-rated health, perceived symptoms, and self-efficacy ( Al-Noumani et al, 2018 ; Asgari et al, 2019 ).…”

Association Between Medication Literacy and Medication Adherence Among Patients With Hypertension

“…These include socio-demographic factors (Abegaz et al, 2017; Nurhussein et al, 2018; Fatani et al, 2019; Uchmanowicz et al, 2019), such as gender, age, education level, occupational status, or even race; socio-economic status, such as annual income and medical insurance (Boima et al, 2015; Nielsen et al, 2017); and family disease history, number of prescribed drugs, comorbidity, and duration of hypertension as clinical disease-related factors (Choi et al, 2018; Williams et al, 2018; Uchmanowicz et al, 2019). Furthermore, psychosocial factors also influence medication adherence, such as depressed emotion, perceived severity of disease, self-rated health, perceived symptoms, and self-efficacy (Al-Noumani et al, 2018; Asgari et al, 2019). Knowledge of hypertension and patients’ literacy (Boima et al, 2015; Shirindi et al, 2016; Pan et al, 2017) were also found to be predictors of medication adherence.…”